TechDetail

Last Updated:  1/7/2025 7:08:41 PM

Technician Detail               
Name  BERTHA   GRACE 
Type  Technician 
Number 7653 
City  BROKEN BOW, OK  74728 
Status CANCELED
Issue Date  02/01/2004 
Renewed Date 08/18/2006
Expire Date  07/31/2007 
End Date  08/31/2007 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action